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HomeMy WebLinkAboutROGERS SCOTT PREMIER POOL AND SPA - INSURANCE CERTIFICATE2/2 / 008 10 49 AM FROM Fa< 9i 11h Ivs FVIS In TO 2i6 07 FAe9 001 OF 001 ACORD. CERTIFICATE OF LIABILITY INSURANCE °"02/2 oa"Y' PRODUCER Welsh Insurance Agency Inc 4033 Boardwalk Drive Suite #200 Fort Collins CO 80525 Phone (970)206-1810 Fax (970)206-1808 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC # INSURED Rogers Scott DBA Premier Pool & Spa 2020 Yorktown Ave Fort Collins CO 80526 1663 INSURERA NAUTILUS INS CO INSURERS AUTO OWNERS INS CO INSURER INSURER D INSURER E COVERAGES INSURER THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANYREOUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR ADOL INSRD TYPE OF INSURANCE POLICY POLICY NUMBER EFFECTIVE DATE MMIDDttY) POLICY E%PIMTION DATE MMiODMI LIMITS A ❑ GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE W OCCUR ❑ NC731482 02/23/08 02/23/09 EACH OCCURRENCE 1 000 000 GE TO RENTED PREMISES SES (Ea oceorenee 100 000 MED EXP (Any one person) 5 000 PERSONAL &ADV INJURY 1 000000 ❑ GENERAL AGGREGATE 2 000 000 GEN L AGGREGATE LIMIT APPLIES PER © POLICY []PROJECT ❑ LOC PRODUCTS COMP/OP AGG 2000000 B ❑❑ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS SCHEDULED AUTOS ❑ HIREDAUTOS ❑ NON OWNED AUTOS ❑ 4673106500 03/20/07 03/20/08 COMBINED SINGLE LIMIT (Ea accident) 300 000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ❑ ANY AUTO ❑ AUTOONLY EAACCIDENT OTHER THAN EA ACC AUTO ONLY AGO 4E] EXCESS LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION E EACH OCCURRENCE AGGREGATE B WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER / MEMBER EXCLUDED? Y Ifyes descnbeunder SPECIAL PROVISIONS below 74003506 07/02/07 07/02/08 ❑� WC STATLL ❑ OTH TORY LIMITS ER EL EACH ACCIDENT ___ 100000 EL DISEASE EA EMPLOYEE 100 000 E L DISEASE POLICY LIMIT 500 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISION6 POOL INSTALLATION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins PURCHASING DEPARTMENT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Attn Purchasing THE LEFT BUT FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 fax 221 6707 ACORD 25 (2001108) ® ACORD CORPORATION 1988